Diastema Closure Using A Removable Orthodontic Appliance With Finger Spring And Labial Arch: Case Report

Naila Fadhilah Romadhona; Reni Kurniasari

doi:10.55227/ijhet.v5i4.1261

Authors

Naila Fadhilah Romadhona Department of Orthodontics Faculty of Dentistry, Universitas Muhammadiyah Surakarta, Indonesia
Reni Kurniasari Department of Orthodontics Faculty of Dentistry, Universitas Muhammadiyah Surakarta, Indonesia

DOI:

https://doi.org/10.55227/ijhet.v5i4.1261

Keywords:

Diastema/ Diastema Closure/ Finger Spring/ Labial Arch/ Removable Orthodontic Appliance.

Abstract

Diastema is a condition characterized by the presence of a space or gap between two adjacent teeth. Diastema closure can be performed using removable orthodontic appliance with active components that deliver forces to the teeth. This case report aimed to describe the management of maxillary midline diastema using a removable orthodontic appliance combining finger springs and a labial arch. A 20-year-old female patient presented to Soelastri Dental Hospital, Surakarta, with complaint of a space between the maxillary anterior teeth affecting her appearance. Clinical examination revealed a midline diastema between teeth 11 and 21, accompanied by anterior tooth malpositions. Treatment was performed using a maxillary plate equipped with finger springs on teeth 11 and 21 and a labial arch with an inverted U-shaped loop. The appliance was activated and progress was evaluated periodically. The midline diastema measured 0.7 mm at appliance insertion, decreased to 0.6 mm at the second follow-up and 0.3 mm at the eighth follow-up, and was completely closed by the tenth follow-up. Overjet decreased from 3 mm to 2.5 mm, while overbite decreased from 3 mm to 2.6 mm. The combination of finger springs and labial arch achieved closure of the maxillary midline diastema with controlled tooth movement.

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